Sinicina I, Pankratz H, Büttner A, Mall G
Institute of Legal Medicine, Ludwig-Maximilians-University, Frauenlobstrasse 7a, D-80337 Munich, Germany.
Forensic Sci Int. 2005 Dec 1;155(1):7-12. doi: 10.1016/j.forsciint.2004.10.021. Epub 2004 Dec 13.
We report a case of fatal gastric rupture discovered after death, which developed due to a bulimic attack of a 19-year-old woman suffering from anorexia nervosa. An autopsy revealed an acute gastric dilatation and rupture without commonly observed ischemic damage of gastric wall structures. However, it may be difficult to determine the cause of death despite the marked findings. The death as a consequence of neurogenic shock accounts for all the results of gross examination and histologic analysis. This case is the first reported case of fatal gastric rupture of an anorectic patient discovered after death.
我们报告一例死后发现的致命性胃破裂病例，该病例发生于一名患有神经性厌食症的19岁女性的暴食发作之后。尸检显示急性胃扩张和破裂，而胃壁结构未见常见的缺血性损伤。然而，尽管有明显的发现，死因可能仍难以确定。神经源性休克导致的死亡解释了大体检查和组织学分析的所有结果。该病例是首例报告的死后发现的神经性厌食症患者致命性胃破裂病例。
